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Crisis intervention for people with severe mental illnesses

Adams, Clive E.
Abstract
This article presents a review which aims to assess the effectiveness of crisis intervention compared with standard treatment, the latter generally being hospitalization. Cochrane Schizophrenia Group Trials Register was searched and first authors was contacted for additional data. All relevant randomized controlled trials (RCTs) reporting on crisis interventions for severe mental illnesses were included. Data were extracted from included articles by two independent reviewers. A random-effects model was used for heterogeneous dichotomous data. Weighted means were calculated for continuous data. A total of 1144 participants were included from 8 trials conducted between 1964 and 2010. Six months after crisis, the number of families of participants stating that the burden of care was great was significantly lower for those who had received crisis intervention than for those who had received standard care. Client Satisfaction Questionnaire at 20 months' follow-up also indicated that patient satisfaction was significantly higher in the crisis intervention group. Taken together, these results paint a promising picture for the effectiveness of crisis intervention packages and their acceptability to both patients and their families. With the widespread implementation of crisis intervention packages in several countries, research of higher quality is urgently needed. (PsycINFO Database Record (c) 2016 APA, all rights reserved)
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Date
2012
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Article
Subject
Crisis intervention, Hospitalisation, Mental disorders, Patient readmission, Patient satisfaction, Schizophrenia
Citation
Murphy, S., Irving, C. B., Adams, C. E. & Driver, R. (2012). Crisis intervention for people with severe mental illnesses. Schizophrenia Bulletin, 38 (4), pp.676-677.
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